After Wisdom Tooth Removal

Immediately Following Surgery
Keep Your Mouth Clean
Nausea and Vomiting
Other Complications
Patient Reviews: Wisdom Teeth Removal

The removal of impacted teeth is a serious surgical procedure.

Post-operative care is very important.

Unnecessary pain and the complications of infection and swelling can be minimized if the instructions are followed carefully.

Please read the information below to use after wisdom teeth removal. If you have any questions, please call us at Columbia Oral & Maxillofacial Surgery Phone Number 573-443-0466.

Immediately Following Surgery

  • The gauze pad placed over the surgical area should be kept in place for an hour. After this time, the gauze pad should be removed and discarded.
  • Vigorous mouth rinsing or touching the wound area following surgery should be avoided. This may initiate bleeding by causing the blood clot that has formed to become dislodged.
  • Take the prescribed pain medications as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming diminished.
  • Restrict your activities on the day of surgery and resume normal activity when you feel comfortable.
  • Place ice packs to the sides of your face where surgery was performed. Refer to the section on swelling for an explanation.


A certain amount of bleeding is to be expected following surgery.

Slight bleeding, oozing, or redness in the saliva is not uncommon.

Excessive bleeding may be controlled by first rinsing or wiping any old clots from your mouth, then placing a gauze pad over the area and biting firmly for thirty minutes.

Repeat if necessary.

If bleeding continues, bite on a moistened tea bag for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels.

To minimize further bleeding, do not become excited, sit upright, and avoid exercise. If bleeding does not subside, call for further instructions: Columbia Oral & Maxillofacial Surgery Phone Number 573-443-0466.


The swelling that is normally expected is usually proportional to the surgery involved.

Swelling around the mouth, cheeks, eyes, and sides of the face is not uncommon.

This is the body’s normal reaction to surgery and eventual repair.

The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively.

However, the swelling may be minimized by the immediate use of ice packs.

Two baggies filled with ice or ice packs should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake.

After 36 hours, ice has no beneficial effect.

If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery.

Thirty-six hours following surgery, the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling.


For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every three to four hours or Ibuprofen, (Motrin or Advil) two-four 200 mg tablets may be taken every 3-4 hours.

For severe pain:
Take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes.

Do not drive an automobile or work around machinery.

Avoid alcoholic beverages.

Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office: Columbia Oral & Maxillofacial Surgery Phone Number 573-443-0466.


After general anesthetic or IV sedation, liquids should be initially consumed.

You may eat anything soft by chewing away from the surgical sites.

High calorie, high protein intake is very important. Refer to the section on suggested diet instructions at the end of the brochure.

You should prevent dehydration by drinking fluids regularly.

Caution: If you suddenly sit up or stand from a lying position you may become dizzy. If you are lying down following surgery, make sure you sit for one minute before standing.

Keep Your Mouth Clean

No rinsing of any kind should be performed until the day following surgery.

You can brush your teeth the night of surgery but rinse gently.

The day after surgery you should begin rinsing at least 5-6 times a day especially after eating with a cup of warm water mixed with a teaspoon of salt.

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In some cases, discoloration of the skin follows swelling.

The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues.

This is a normal post-operative occurrence, which may occur 2-3 days post-operatively.

Moist heat applied to the area may speed up the removal of the discoloration.


If you have been placed on antibiotics, take the tablets or liquid as directed.

Antibiotics will be given to help prevent infection. Discontinue antibiotic use in the event of a rash or other unfavorable reaction. Call the office if you have any questions: Columbia Oral & Maxillofacial Surgery Phone Number 573-443-0466.

Nausea and Vomiting

In the event of nausea and/or vomiting following surgery, do not take anything by mouth for at least an hour including the prescribed medicine.

You should then sip on coke, tea, or ginger ale.

You should sip slowly over a fifteen-minute period. When nausea subsides you can begin taking solid foods and the prescribed medicine.

Other Complications

  • If numbness of the lip, chin, or tongue occurs there is no cause for alarm. As stated before surgery, this is usually temporary in nature. You should be aware that if your lip or tongue is numb, you could bite it and not feel the sensation. So be careful. Call Dr. Andrews if you have any questions: Columbia Oral & Maxillofacial Surgery Phone Number 573-443-0466.
  • Slight elevation of temperature immediately following surgery is not uncommon. If the temperature persists, notify the office. Tylenol or ibuprofen should be taken to reduce the fever.
  • You should be careful going from the lying down position to standing. You were not able to eat or drink prior to surgery. It was also difficult to take fluids. Taking pain medications can make you dizzy. You could get light-headed when you stand up suddenly. Before standing up, you should sit for one minute then get up.
  • Occasionally, patients may feel hard projections in the mouth with their tongue. They are not roots, they are the bony walls that supported the tooth. These projections usually smooth out spontaneously. If not, they can be removed by Dr. Andrews.
  • If the corners of your mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment such as Vaseline.
  • Sore throats and pain when swallowing are not uncommon. The muscles get swollen. The normal act of swallowing can then become painful. This will subside in 2-3 days.
  • Stiffness (Trismus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is a normal post-operative event that will resolve in time.


Sutures are placed in the area of surgery to minimize post-operative bleeding and to help with healing.
Sometimes they become dislodged, this is no cause for alarm.

Just remove the suture from your mouth and discard it. The sutures will be removed approximately one week after surgery.

The removal of sutures requires no anesthesia or needles. It takes only a minute or so, and there is no discomfort associated with this procedure. So it’s really nothing to worry about.

The pain and swelling should subside more and more each day following surgery. If your post-operative pain or swelling worsens or unusual symptoms occur call my office for instructions.

There will be a cavity where the tooth was removed.

The cavity will gradually, over the next month, fill in with the new tissue.

In the meantime, the area should be kept clean especially after meals with salt water rinses or a toothbrush.

Your case is individual, no two mouths are alike.

Do not accept well-intended advice from friends. Discuss your problem with the persons best able to effectively help you: Dr. Andrews or your family dentist.

Brushing your teeth is okay – just be gentle at the surgical sites.

A dry socket is when the blood clot gets dislodged prematurely from the tooth socket.

Symptoms of pain at the surgical site and even pain to the ear may occur 2-3 days following surgery. Call the office if this occurs.

If you are involved in regular exercise, be aware that your normal nourishment intake is reduced.

Exercise may weaken you. If you get lightheaded, stop exercising.

Ready to Schedule your Wisdom Teeth Removal Consultation?

Call Columbia Oral & Maxillofacial Surgery Phone Number 573-443-0466 today with questions or to schedule your consultation!

Patient Reviews: Wisdom Teeth Removal

Please read testimonials from our patients. You can also leave us your feedback. For assistance, please call us at Columbia Oral & Maxillofacial Surgery Phone Number 573-443-0466.

Columbia Oral & Maxillofacial Surgery, LLC

5 out of 5 stars based on 3 Tooth Removal reviews.

Patient Review

I have been a Surgical Nurse for 22 years, an RN for 37 years and worked in a local Hospital for over 40 years. EVERY TIME I get to work WITH Dr. Andrews or Dr. Atwood and his staff, it's a wonderful experience. That being stated, my son recently had to have some decayed teeth…

- Mark T

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5 out of 5 stars on

Patient Review

Thank you Dr. Atwood and nurses!!! We appreciate everything you did for Brock. We appreciate the caring staff, everyone being so flexible, taking your time and doing the right thing, and just having a great team that goes above and beyond for your patients. I highly recommend Dr. Atwood and his staff!!!! Thanks again for…

- Stefani R

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5 out of 5 stars on

Patient Review

The office was busy but we were greeted promptly by the friendly front desk staff. All of the pre- and post-op procedures were smooth and efficient. My tooth extraction was quick and painless. Dr Atwood was very professional, explained the procedure thoroughly, and answered all of our questions. I will be returning to him for…

- Hulda P

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5 out of 5 stars on